Individual
LESLIE H HUTCHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 WILLARD RD # 5740, WINSTON SALEM, NC 27107-5543
(336) 493-5740
Mailing address
6061 SHOWELL CIR, PFAFFTOWN, NC 27040-9829
(336) 493-5740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7928
NC
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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